HESI RN
Hesi RN Maternal Newborn Questions
Extract:
Question 1 of 5
During the admission of a newborn, the nurse identifies a localized swelling that does not cross the suture line on the posterior area of the parietal bone. Which action should the nurse implement?
Correct Answer: C
Rationale: A cephalhematoma, not crossing suture lines, requires pediatrician notification to monitor for complications like jaundice, unlike caput succedaneum or unnecessary CT scans.
Extract:
History and Physical:
Nurses' Notes
Flow Sheet
The client is a 26-year-old female gravida 2, para 1, term 1, living 1. She was admitted to the labor and delivery unit with cervical dilation of 4 cm, 70% effacement, and -1 station. Her pregnancy has been uncomplicated, and she has no significant medical history.
A nurse is caring for a 26-year-old female client in the labor and delivery unit. The client is gravida 2, para 1, term 1, living 1, and is admitted with cervical dilation of 4 cm, 70% effacement, and -1 station. The pregnancy has been uncomplicated.
Question 2 of 5
The nurse reviews the client data. Drag the word choices to complete the sentence. Abnormal FHR patterns can result in [Dropdown Group 1], [Dropdown Group 2], and [Dropdown Group 3].
| Acidemia. |
| Hypoxemia. |
| Hypoxia. |
| Meconium stool. |
| Maternal hypotension. |
| Hypoglycemia. |
Correct Answer: A,B,C
Rationale: Abnormal FHR patterns indicate acidemia (low pH), hypoxemia (low blood oxygen), and hypoxia (tissue oxygen deficiency), directly affecting fetal oxygenation.
Extract:
Question 3 of 5
A primipara presents to the perinatal unit describing rupture of the membranes (ROM) occurring 12 hours prior to coming to the hospital. An oxytocin infusion is begun, and 8 hours later the client's contractions are irregular and mild. Based on this data, the nurse plans to monitor which sign more frequently than for the average laboring client?
Correct Answer: B
Rationale: Prolonged ROM increases infection risk, necessitating frequent maternal temperature monitoring to detect chorioamnionitis early.
Question 4 of 5
Following an amniocentesis, a client verbalizes several concerns. Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?
Correct Answer: A
Rationale: Low back pain and pelvic cramping post-amniocentesis may signal complications like premature labor or infection, requiring immediate evaluation.
Extract:
History and Physical:
Laboratory Results:
The client is a 24-year-old pregnant woman. She is gravida 2, para 1 (G2P1). Her mother has a history of type 2 diabetes mellitus.
Question 5 of 5
Which is likely causing this client's increased blood glucose at 28 weeks? Select all that is apply.
Correct Answer: C,E,F
Rationale: Increased insulin needs, normal weight gain, and macrosomia contribute to insulin resistance and hyperglycemia in pregnancy, unlike fetal health issues, decreased cortisol, or placental infection.